Offer to Rent on Month-To-Month Basis and Credit Statement of Prospective Tenant

ICR 200707-2900-007

OMB: 2900-0143

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0143 200707-2900-007
Historical Active 200407-2900-002
VA 2900-0143
Offer to Rent on Month-To-Month Basis and Credit Statement of Prospective Tenant
Extension without change of a currently approved collection   No
Regular
Approved without change 01/02/2008
Retrieve Notice of Action (NOA) 11/13/2007
  Inventory as of this Action Requested Previously Approved
01/31/2011 36 Months From Approved 12/31/2007
100 0 100
33 0 33
0 0 0

The form serves as a credit statement and rental offer executed by prospective tenants of properties owned by VA. Information collected provides basis for acceptance or rejection of offer by VA officials.

US Code: 38 USC 3720(a)(6) Name of Law: Powers of Secretary
  
None

Not associated with rulemaking

  72 FR 141 07/24/2007
72 FR 196 10/11/2007
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 100 0 0 0 0
Annual Time Burden (Hours) 33 33 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$591
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/13/2007


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